口咽通气管在抽搐患者院前急救中的应用  

Application of the oropharyngeal snorkel in tic patients of pre-hospital emergency

作　　者：杜建蓉[1] 荣秀华[1] 谢群芳[1] 黄丹[1] 

机构地区：[1]成都市第二人民医院急诊科,四川成都610017

出　　处：《西部医学》2011年第10期1998-1999,共2页Medical Journal of West China

摘　　要：目的探讨口咽通气管在急诊抽搐患者中的应用。方法回顾性阶段研究急诊科接诊的41例抽搐患者,其中2008年4月～2009年3月使用开口器20例为对照组;2009年4月～2010年6月使用口咽通气管21例为观察组。比较两组在处置前后的呼吸频率、血氧饱和度、氧分压、二氧化碳分压等指标及安置所耗费时间和成功率。结果两组处置前呼吸频率、血氧饱和度、氧分压、二氧化碳分压比较无显著差异性(P>0.05)。两组处置后呼吸频率、血氧饱和度、氧分压、二氧化碳分压比较有显著差异性(P<0.01)。放置口咽通气管后病人的缺氧症状有明显改善。两组置管耗费时间、成功率相比,观察组优于对照组(P<0.05),具有统计学意义。结论使用口咽通气管能迅速为抽搐患者建立有效气道通气,保持呼吸畅通,防止舌后坠及舌咬伤。Objective To investigate the application of oropharyngeal snorkel in the tic patients with emergency.Methods 41 patients with tic were divided control group（20 cases） hospitalized in April 2008 to March 2009 treated with the opening device and observation group（21 cases） in April 2009 to June 2010 treated with oropharyngeal snorkel.The disposal of respiratory rate,oxygen saturation,partial pressure of oxygen,carbon dioxide partial pressure and other indicators and time-consuming placement and success rate were observed.Results There was no significant difference of the respiratory rate,oxygen saturation,partial pressure of oxygen,carbon dioxide partial pressure before treatment（P0.05）.There was significant difference of the respiratory rate,oxygen saturation,partial pressure of oxygen,carbon dioxide partial pressure after treatment（P0.01）.Tube time and the success rate of the observation group were more super than than that of the control group（P0.05）.Conclusion Oropharyngeal snorkel can quickly establish an effective airway of tic patients and maintain smooth breathing.

关 键 词：口咽通气管 抽搐 院前急救 应用 

分 类 号：R473.78[医药卫生—护理学]